OO CR003-597 OBX with PID in VXU

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Submitted by: Rob Savage	Revision date: <<Revision Date>>
Submitted date: 24-Apr-2008	Change request ID: OO CR003
Standard/IG: Standard	Artifact ID, Name: <<Artifact ID, Name>>

Issue

See File:OO CR003-597.doc for problem definition and proposal.

Discussion

• May 14, 2009
  • Unclear what proposal is trying to achieve. We think it is:
    • Add the ability to convey evaluation of immunization history and recommendations for next doses due. AND/OR
    • Add additional observations about the patient that can help the provider/registry to assess whether to take further steps or not.
  • If 2)
    • Why not send an ORU with all this information?
    • Also, may position it after IN group and before ORC.
  • If 1), not sure whether an OBX is appropriate or sufficient. How do we convey what is proposed to be ordered without the proposed service identifier(s).
  • While reviewing we wonder whether the ORDER begin/end group should really be called VACCINATION begin/end group since it is not an order for a vaccination, rather the recording of one.